1
Q
an injury in which flaps of the skin and tissue are torn loose or pulled off completely is called
A
avulsion
2
Q
a soft tissue injury involving a gunshot will characteristically have an
A
entry and exit wound
3
Q
the swelling that occurs in conjunction with a contusion is caused by
A
a rupture of blood vessels in the dermis
4
Q
a pathological fracture occurs when
A
a medical condition causes abnormal bone weakness
5
Q
scalp injuries tend to bleed more because
A
there is rich blood supply to the area
6
Q
a bruise behind the ear in relation to a head injury is called
A
battle sign
7
Q
decorticate posturing is characterised by
A
flexion of arms and extension of feet
8
Q
decerebrate posturing
A
is a more severe finding than decorticate posturing, as it indicates damage in or near the brain stem
9
Q
in relation to a head injury, increased ICP the pupil will
A
dilate on the same side as the injury
10
Q
when caring for a patient involved in a RTC, you may release manual stabilisation of your patients head and neck after the patient
A
is secured to a long spine board
11
Q
hypoperfusion of the brain may cause
A
anxiety, restlessness, and agitation
12
Q
what is considered effective management technique for a patient in shock
A
raising the lower legs to help maintain a blood pressure within normal limits
13
Q
the most effective methods of controlling an external bleed are
A
direct pressure, indirect pressure and tourniquet
14
Q
shock caused by failure of the nervous system to control the diameter of blood vessels is called ____ shock
A
neurogenic shock
15
Q
while treating for shock, IV therapy is used to combat….
A
hypovolaemia
16
Q
what sign would you likely observe in compensated shock
A
anxiety/agitation
17
Q
what type of shock is a hypoglycaemic patient in
A
metabolic
18
Q
shock describes a state of collapse and failure in what system
A
cardiovascular
19
Q
thermal burns occur when the skin is exposed to temperatures greater than
A
44 degrees celsius
20
Q
in relation to burns what is the total body surface area of an infants leg
A
14%
21
Q
what is true regarding electrical burns
A
respiratory paralysis may occur from an electrical shock
22
Q
a superficial burn is
A
characterised by reddened skin with varying degrees of pain
23
Q
a partial thickness burn is considered to be critical if
A
involves more than 30% of the body surface area
24
Q
how many hours does it take for a burn to set in
A
6-8hrs
25
what rhythms are shockable by AED
ventricular fibrillation
ventricular tachycardia
26
when the AED advises a shock the paramedic should
ensure no one is touching the patient then press the shock button
27
the PR interval should be no shorter than
0.12
28
normally the ST segment should be
at the level of the isoelectric line
29
what medication has a blood thinning effect
warfarin
30
myocardial ischaemia occurs when the heart muscle
is deprived of oxygen because of a blocked coronary artery
31
stable angina
occurs after a predictable amount of exertion
32
in contrast to stable angina, unstable angina
may be brought on in the absence of exertion
33
the pain associated with an acute MI
is not influenced by deep breathing or body movements
34
where the heart is no longer able to carry its normal load causing reduced circulation which causes fluid build up in certain parts of the body. this condition is called
congestive heart failure CHF
35
what is the normal duration of the QRS
0.04-0.12
36
multifocal PVCs arise from
different sources in the ventricles
37
unifocal PVCs arise from
one specific area in the ventricles
38
the purpose of a defibrillatory shock is to
stop all electrical activity in the heart to enable the SA node to resume control
39
from the time of arrival at a patients side of an unwitnessed cardiac arrest in v fib, the first shock is given
immediately
40
how long after death does rigor mortis occur
3-4hrs
41
you get a ROSC on a patient who required defib. what is your target temperature for therapeutic hypothermia
32-34 degrees
42
sensations of an abnormally fast or irregular heartbeat by a patient who has not been under any physical exertion are called
palpitations
43
an abnormal pulse finding where there is an excessive SBP drop with each inspired breath causing a weakening of the palpated pulse is called
pulsus paradoxus
44
the pathological condition in which the arterial walls become thickened and inelastic is
arteriosclerosis
45
pulse pressure can be used to clinically diagnose
cardiac tamponade
46
the period from one cardiac contraction to the next is called
cardiac cycle
47
what does depolarisation of the heart do
causes the heart to contract
48
the abnormal dilation or weakening of a blood vessel is called
aneurysm
49
for a patient to be diagnosed as having hypertension the patient has a SBP above
140
50
hypoglycaemic diabetic coma may develop as a result of
too much insulin
51
a patient in insulin shock or diabetic coma may appear to be
intoxicated
52
the onset of hypoglycaemia can occur within
minutes
53
signs and symptoms associated with hypoglycaemia include
anxious or combative behaviour
54
if a patient has drank a corrosive substance you should
give milk or water
55
patients from an immersion incident should be removed from the water in what position
horizontal
56
in order for a paramedic to consider whether the patients present symptoms could caused by diving, the patient must have been diving within the previous__hrs
48hrs
57
markers for multi-system trauma
GCS: <13
HR: >120
SBP: <90
RR: <10 or >29
Revised trauma score: <12
mechanism of injury
58
In what year was the third edition V2 CPGs published
2011
59
for a paediatric patient who has bradycardia, what additional test should a paramedic carry out
blood glucose
60
what is the recommended maximum on scene time when dealing with a paediatric patient in asystole
10 minutes
61
what is the maximum or optimum number of ventilations per minute that should be delivered to an adult in cardiac arrest
10
62
CPGs state that the paramedic should use burn gel dressings with caution when the total body surface area injured is
>10%
63
How many times can you repeat glucagon
0
64
what is the maximum number of shocks that can be delivered on scene
No maximum
65
a patient with a head injury and a GCS <8 should be transported with an upward head tilt of
10º
66
what percentage oxygen should a paramedic start with, when titrating the oxygen requirements on a COPD patient
28%
67
normal RR for a preschool child
22-34
68
at what point on an analogue pain scale should a paramedic call ALS for backup
>7
69
what does RPN stand for
registered psychiatric nurse
70
at what point on the analogue pain scale is ENTONOX recommended
4-6
71
what position should a pregnant patient adopt if she has a prolapsed cord
knees to chest
72
what is the max dose of glucose paste a paramedic can administer to a child
no max dose
73
what does the letter A stand for in METHANE
access
74
severe hypothermia is defined as what temp
<30º
75
dose of adrenaline for a 7yr old
300mcg
76
if you assess a child's pain and find it to be between __ and ___ you should administer paracetamol
1 and 3
77
what pneumonic is associated with haemorrhage control
PEEP
78
what is not a sign of poor perfusion in a paediatric
dyspnoea
79
ratio of compressions to breath when doing neonatal CPR
3:1
80
normal HR for an infant
100-160
81
for a neonate requiring CPR, compressions should be carried out for ____ seconds before reassessing the pulse
30 seconds
82
role of practitioner 1 at a major emergency
carry out the communication officer role until relieved
83
following defib of a patient in cardiac arrest, what is the next action carried out
commence CPR
84
role of practitioner 2 at a major emergency
carry out scene survey
85
how long should a burns patient be cooled
10 mins
86
RR of a toddler
24-40
87
practitioners are authorised to administer medications appropriate to their clinical level under what legislation
SI 512 of 2008
88
CPR for a child aged 4wks-1yr with two practitioners present
15:2
89
at a major emergency, who controls access to silver area/outer cordon
senior garda officer
90
seizures which involve both sides of the brain are known as
generalised
91
ECG paper is printed at what speed
25mm/sec
92
when transporting a hypothermic patient in a helicopter the head should be placed
to the front of the helicopter to keep the head down
93
the danger of roughly handling a hypothermic patient is
the patient may go into VF
94
what are the four mechanisms that affect core body temperature
conduction
convection
radiation
evaporation
95
moderate hypothermia is considered between which temp ranges
30-33.9
96
when a patient drowns in a submersion incident and the laryngeal muscles go into spasm this is known as
dry drowning
97
in the care of a drowning patient in terms of resuscitation, one of the primary complications will be to prevent ____ to avoid aspiration
vomiting
98
full failure of the bodys heat regulating mechanisms, which results in ALOC, delirium and/or convulsions with dry skin and hot to touch is called
heat stroke
99
secondary drowning can occur up to how many hours later
72hrs
100
how many shocks can a patient in cardiac arrest receive, if they are also suffering from severe hypothermia
3
101
a patient who has a slight temperature and has a normal or slight ALOC, is pale cool and moist to the touch is suffering from
heat exhaustion
102
the cause of motor neurone disease is?
idiopathic (no known cause)
103
signs and symptoms of motor neurone disease are
spasticity and muscle atrophy
104
MS is a disease affecting
the myelin sheet of the nerve
105
the period where symptoms of MS are mild/disappear is known as
remission
106
parkinsons disease is caused by insufficient formation of the neuro-transmitter
dopamine
107
a sign of parkinson's disease is
tremors
108
a symptom of MS where swallowing is affected is called
dysphagia
109
a degenerative disorder of the central nervous system that is characterised by shuffling movements
Parkinsons disease
110
what is an example of a metabolic cause of a seizure
withdrawal from drug dependency
111
the human female gestation period is
40wks
112
the compression of what during pregnancy causes supine hypotensive syndrome
vena cava
113
a premature baby is one that weighs less than ___ kg or is born before the ____ week of pregnancy
2.5kg
37th week
114
do not attempt to move a woman in labour to the hospital when
the perineum is bulging with each contraction
115
the dome-shaped top of the uterus is called the
FUNDUS
116
an immature egg is called
Oocyte
117
by the end of week _____ a womans diastolic blood pressure should have returned to its pre pregnancy level
week 36
118
febrile convulsions are common between what ages
6 months - 5 years
119
a small rash on a patients skin resulting from exposure to an antigen is an example of
local reaction
120
aggression driven by psychosis is an example of
disturbed aggression
121
if stridor is heard when auscultating it would most likely be a sign of
upper airway obstruction
122
when you open an infants airway you should
move the head to a neutral position
123
a paediatric patient presents with:
increased work of breathing, sitting upright in the sniffing position, chin thrust forward and drooling
what is the likely diagnosis
epiglottitis
124
the presence of thick meconium in the amniotic fluid indicates
the baby's airway may be obstructed
125
the third stage of labour begins when the
the baby is expelled from the vagina
126
a paediatric patient presents with lethargy or irritable behaviour, pyrexia, nausea vomiting, photosensitivity and a purpuric rash may be suffering from
meningitis
127
dose of midazolam for a 3yr old
5mg
128
what is the broselow tape for
estimate a child's weight and identify correct size paediatric equipment to use
129
during resus of a neonate you find the pulse rate is 90. what is your next step
provide positive pressure ventilations for 30 seconds
130
poor muscle tone indicates what in a neonate
hypoxia
UL PARAMEDICS
flashcards
Decks in class (42)
# Cards
-
ACTIVATED CHARCOAL9
-
HYDROCORTISONE7
-
ADRENALINE (1:1,000)8
-
IPRATROPIUM BROMIDE7
-
CLOPIDOGREL6
-
TICAGRELOR7
-
GTN8
-
ASPIRIN6
-
DEXAMETHASONE7
-
GLUCOSE 10% SOLUTION7
-
CYCLIZINE7
-
NALOXONE9
-
GLUCOSE GEL10
-
GLUCAGON13
-
ONDANSETRON7
-
CARDIAC WEEK55
-
MEDICAL TERMS PT.17
-
Medical Terms Breakdown112
-
respiratory week61
-
CAPNOGRAONY WAVEFORMS8
-
ENDOCRINE SYSTEM21
-
BIOLOGY/PHYSIOLOGY BLOOD38
-
ANATOMY + PHYSIOLOGY GI TRACT31
-
BIOLOGY/PHYSIOLOGY LYMPHATIC SYSTEM2
-
THE CNS + BRAIN65
-
MCQ QUESTIONS339
-
SPECIAL SENSES17
-
HYPO/HYPERTHERMIA15
-
TRAUMA52
-
BONES N STUFF29
-
MATERNITY66
-
PAEDIATRIC63
-
TYPES OF PAIN6
-
NAS MCQ QUESTIONS104
-
NAS MCQ PT.2150
-
NAS MCQ MEDS16
-
NAS MCQ PT.3130
-
NAS MCQ PT.469
-
SWA PREP130
-
NAS EXAM58
-
INTERN MEDS52
-
Intern Facts25
